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OL ALPHA SCIENTIFIC CORPORATION <br />V CHAIN OF CUSTODY RECORD <br />Page of -L <br />Lab Job Number <br />Client. <br />Analyses Requested <br />T.A.T. Requested <br />e tW ILL N hf NT A l, <br />o Rush 8 12 24 his <br />D 2-3 days 4 Normal <br />Address <br />113 0 4AVVT1ty V ) N bp -NV E J\) \ IT 3 0 D 5. PhSM0F,Nq (k q 103 <br />ro <br />C <br />Report Attention <br />Phone <br />Fax <br />San I b <br />Sample Condition <br />P <br />Ea TRAS('ER <br />l 6u�t9 -t1M �t <br />f Gz+. }�14 S13T <br />G <br />U <br />c <br />X <br />W <br />Cj <br />O <br />y <br />U <br />O <br />b <br />a <br />Chilled n Intact <br />Sample seals <br />Project Name/No. <br />Project Site <br />a� I�r u` <br />l�2�0 �2. (,4r I)0 S. I�1tSON WAY STDUkTDN <br />C7 <br />0 <br />o <br />> <br />0 <br />0 <br />J <br />Sample Collect <br />No.,type* <br />Remark <br />Client <br />Lab <br />Matrix <br />Sample <br />&size of <br />o <br />N <br />N <br />E <br />e <br />Date <br />Time <br />Sample ID <br />Sample ID <br />Type <br />Presery <br />container <br />Sott,al.0 LEAD. <br />IJ3- 3•s G <br />3 <br />3, W <br />C <br />130 <br />I <br />-3, N <br />IM 3 <br />I <br />vJ <br />Company <br />4Relinquished <br />Date <br />Time <br />Received b} ConipanN <br />Date <br />Time <br />Container types: MPlasticMetal Tui <br />VA(�Pj <br />1Z <br />j 1 �- <br />` t h � � <br />-� �. <br />A=Air Sag P=Plastic butiie <br />Company <br />Date <br />Time <br />Receive by Company <br />Date <br />Time <br />G—Glass bottle V=VOA vial <br />Note: Samples are discarded 30 days after results are reported unless other arrangements are <br />Alpha Scientific Corporation <br />16760 Gridley Road Tei: (562) 809-8880 made. Hazardous samples will be returned to client or disposed of at client's expense - <br />16760 _.. ;c4�N Qno_QQnt tlictrihartio�• WI-ll'FF. with report_ PINK to courier. <br />